## Contraceptive Prevalence Rate (CPR) in India The **Contraceptive Prevalence Rate (CPR)** is the percentage of married women of reproductive age (15–49 years) currently using a contraceptive method. ### Current CPR Status in India **Key Point:** As per the **National Family Health Survey (NFHS-5, 2019–2021)**, the **modern CPR in India is approximately 48–52%** among married women of reproductive age. ### Breakdown of Contraceptive Use in India | Method Category | Prevalence (%) | Notes | | --- | --- | --- | | **Modern methods** | 48–52 | Sterilization, IUD, pills, condoms, injectables | | **Sterilization** | 37–40 | Tubectomy + vasectomy (dominant method) | | **IUD** | 1–2 | Cu-IUD, LNG-IUS (low uptake) | | **Oral pills** | 2–3 | Growing trend, especially in urban areas | | **Condoms** | 3–4 | Barrier method, dual protection | | **Traditional methods** | 5–8 | Withdrawal, rhythm method | | **Unmet need** | 12–15 | Women wanting but not using contraception | **High-Yield:** Modern CPR in India ≈ 50%, with **female sterilization** accounting for ~75% of all modern method use. This is a frequently tested epidemiological fact. ### Regional Variations - **Higher CPR:** Southern states (Tamil Nadu, Karnataka, Andhra Pradesh) — 55–65% - **Lower CPR:** Northern and northeastern states — 30–45% - **Urban vs. Rural:** Urban CPR ~55%, rural CPR ~45% **Clinical Pearl:** Despite high CPR, **unmet need** (desire for contraception without access) remains 12–15%, indicating gaps in service delivery and counseling.
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